q4 2015 facility and physician billing guide vascular...

22
Global Health Economics and Reimbursement Q4 2015 Facility and Physician Billing Guide Vascular Products PHYSICIAN AND OUTPATIENT BILLING CODES Clinicians and outpatient facilities use Current Procedural Terminology (CPT 1 ) codes to bill for procedures and services. Each CPT code is assigned unique relative value units (RVUs), which are used to determine payment by the Centers for Medicare & Medicaid Services (CMS). Some commonly billed CPT codes used to describe procedures related to Edwards Lifesciences’ Vascular technologies (e.g. Fogarty catheters) are listed below. 2 This list may not be comprehensive or complete. These procedures may be subject to the CMS multiple procedure reduction rule. When applicable, a payment reduction of 50% is applied to all payment amounts except the procedure with the greatest RVUs, which is paid at 100% unless exempt by CPT instructions or payer policy. This rule does not normally apply to radiologic procedures. Procedures related to the use of Edwards Lifesciences’ technologies (e.g. Fogarty catheters) are often performed in a facility setting, including an outpatient hospital department (OPPS, Place of Service (POS) code 22), Ambulatory Surgery Center (ASC, POS code 24), or a Vascular Access Center (which can be licensed as POS 11, 22, or 24). Reimbursement is determined based upon services rendered and varies by place of service. The following are commonly billed codes and associated national average Medicare payment amounts. This list may not be comprehensive and complete. Interventional Procedures 3 Medicare National Average Physician Payment 4 Medicare National Average Facility Payment CPT Code Description Facility Setting (Various POSs) Non-Facility Setting (Including POS 11) Outpatient Hospital 5 (POS 22) ASC (POS 24) 35301 Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision $1,203 Facility Only n/a n/a n/a 35390 Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (list separately in addition to code for primary procedure) $170 Facility Only n/a n/a n/a 36147 6 Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection(s) of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava) $195 $854 APC 0668 $828 $453

Upload: others

Post on 10-Jul-2020

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

Global Health Economics and Reimbursement

Q4 2015 Facility and Physician Billing Guide Vascular Products

PHYSICIAN AND OUTPATIENT BILLING CODES

Clinicians and outpatient facilities use Current Procedural Terminology (CPT1) codes to bill for procedures and services. Each

CPT code is assigned unique relative value units (RVUs), which are used to determine payment by the Centers for Medicare &

Medicaid Services (CMS). Some commonly billed CPT codes used to describe procedures related to Edwards Lifesciences’

Vascular technologies (e.g. Fogarty catheters) are listed below.2 This list may not be comprehensive or complete. These

procedures may be subject to the CMS multiple procedure reduction rule. When applicable, a payment reduction of 50% is

applied to all payment amounts except the procedure with the greatest RVUs, which is paid at 100% unless exempt by CPT

instructions or payer policy. This rule does not normally apply to radiologic procedures.

Procedures related to the use of Edwards Lifesciences’ technologies (e.g. Fogarty catheters) are often performed in a facility

setting, including an outpatient hospital department (OPPS, Place of Service (POS) code 22), Ambulatory Surgery Center (ASC,

POS code 24), or a Vascular Access Center (which can be licensed as POS 11, 22, or 24). Reimbursement is determined based

upon services rendered and varies by place of service. The following are commonly billed codes and associated national

average Medicare payment amounts. This list may not be comprehensive and complete.

Interventional Procedures3

Medicare

National Average

Physician Payment4

Medicare

National Average

Facility Payment

CPT

Code Description

Facility

Setting

(Various

POSs)

Non-Facility

Setting

(Including

POS 11)

Outpatient

Hospital5

(POS 22)

ASC

(POS 24)

35301

Thromboendarterectomy, including patch graft,

if performed; carotid, vertebral, subclavian, by

neck incision

$1,203 Facility Only n/a n/a n/a

35390

Reoperation, carotid, thromboendarterectomy,

more than 1 month after original operation (list

separately in addition to code for primary

procedure)

$170 Facility Only n/a n/a n/a

361476

Introduction of needle and/or catheter,

arteriovenous shunt created for dialysis

(graft/fistula); initial access with complete

radiological evaluation of dialysis access,

including fluoroscopy, image documentation

and report (includes access of shunt,

injection(s) of contrast, and all necessary

imaging from the arterial anastomosis and

adjacent artery through entire venous outflow

including the inferior or superior vena cava)

$195 $854 APC

0668 $828 $453

Page 2: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

CPT

Code Description

Facility

Setting

(Various

POSs)

Non-Facility

Setting

(Including

POS 11)

Outpatient

Hospital5

(POS 22)

ASC

(POS 24)

361487

Introduction of needle and/or catheter,

arteriovenous shunt created for dialysis

(graft/fistula); additional access for therapeutic

intervention (List separately in addition to code

for primary procedure).

$52 $268 n/a n/a n/a

36831

Thrombectomy, open, arteriovenous fistula

without revision, autogenous or non-

autogenous dialysis graft (separate procedure)

$656 Facility Only APC

0088 $3,221 $1,765

36833

Revision, open, arteriovenous fistula; with

thrombectomy, autogenous or non-autogenous

dialysis graft (separate procedure)

$860 Facility Only APC

0088 $3,221 $1,765

36870

Thrombectomy, percutaneous, arteriovenous

fistula; autogenous or nonautogenous graft

(includes mechanical thrombus extraction and

intra-graft thrombolysis)

$315 $1,875 APC

0083 $4,539 $2,220

37211

Transcatheter therapy, arterial infusion for

thrombolysis other than coronary, any method,

including radiological supervision and

interpretation, initial treatment day

$422 Facility Only APC

0621 $844 $462

37212

Transcatheter therapy, venous infusion for

thrombolysis, any method, including

radiological supervision and interpretation,

initial treatment day

$369 Facility Only APC

0621 $844 $462

37213

Transcatheter therapy, arterial or venous

infusion for thrombolysis other than coronary,

any method, including radiological supervision

and interpretation, continued treatment on

subsequent day during course of thrombolytic

therapy, including follow-up catheter contrast

injection, position change, or exchange, when

performed

$261 Facility Only APC

0622 $2,236 n/a

37214

Transcatheter therapy, arterial or venous

infusion for thrombolysis other than coronary,

any method, including radiological supervision

and interpretation, continued treatment on

subsequent day during course of thrombolytic

therapy, including follow-up catheter contrast

injection, position change, or exchange, when

performed; cessation of thrombolysis including

removal of catheter and vessel closure by any

method

$143 Facility Only APC

0622 $2,236 n/a

Page 3: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

REVENUE CODES9 AND HCPCS CODES

Revenue codes help hospitals categorize services provided by revenue center. Medicare utilizes revenue codes for cost

reporting purposes. It may be appropriate for hospitals to capture the cost of products used for these procedures for payer

reporting or cost accounting purposes as expenses within Revenue Code 0278 (Medical/Surgical Supply – Other Implants) on

the hospital UB-04 billing form. CMS uses C-codes under the Outpatient Prospective Payment System (OPPS) to track device

cost information for future APC rate-setting purposes. No additional facility payment is associated with these codes. CMS may

reject hospital claims if the appropriate C codes used to report device costs are not identified on the claim. Edwards

Lifesciences’ Vascular technologies can be used in both the inpatient and outpatient setting. C codes which may apply to the

use of these products in the outpatient setting are listed below. Procedure codes associated with these products are not

necessarily included within this document.

C Code Description Edwards Product Examples

C1757 Thrombectomy/Embolectomy Catheter

Fogarty and Fogarty Fortis thrombectomy and embolectomy

catheters: 120403F-120807F, 12A0403F-12A1004F, NL2EMB40-

NL7EMB80, 12TLW403F-12TLW807F, 140806-1408010,

160245F, 160245F, 160246F, 320806F-32080810F

C2628 Catheter, occlusion 620403F, 620404F, 620405F, 62080814F, 62080822F

INPATIENT HOSPITAL BILLING CODES

Medicare inpatient hospital reimbursement is based upon the Medicare Severity-Diagnostic Related Group (MS-DRG)

classification system, which assigns MS-DRGs based on ICD-9-CM diagnosis and procedure codes. Although the compliance

date for mandatory use of ICD-10 codes is October 1, 20156, this guide is intended to provide the cross-over codes for testing

purposes only. Given Medicare and other payers are encouraging the provider community to perform parallel coding and test the

claims systems, this guide will provide the necessary conversion from ICD-9 codes to the appropriate ICD-10 codes.

ICD-9-CM

Procedure Code11 Description

ICD-10-CM

Procedure

Code12

Description

38.12

Endarterectomy,

other vessels of

head and neck

03CH0ZZ Extirpation of Matter from Right Common Carotid Artery, Open Approach

03CH4ZZ Extirpation of Matter from Right Common Carotid Artery, Percutaneous Endoscopic Approach

03CJ0ZZ Extirpation of Matter from Left Common Carotid Artery, Open Approach

03CJ4ZZ Extirpation of Matter from Left Common Carotid Artery, Percutaneous Endoscopic Approach

03CK0ZZ Extirpation of Matter from Right Internal Carotid Artery, Open Approach

03CK4ZZ Extirpation of Matter from Right Internal Carotid Artery, Percutaneous Endoscopic Approach

03CL0ZZ Extirpation of Matter from Left Internal Carotid Artery, Open Approach

03CL4ZZ Extirpation of Matter from Left Internal Carotid Artery, Percutaneous Endoscopic Approach

03CM0ZZ Extirpation of Matter from Right External Carotid Artery, Open Approach

03CM4ZZ Extirpation of Matter from Right External Carotid Artery, Percutaneous Endoscopic Approach

03CN0ZZ Extirpation of Matter from Left External Carotid Artery, Open Approach

03CN4ZZ Extirpation of Matter from Left External Carotid Artery, Percutaneous Endoscopic Approach

03CP0ZZ Extirpation of Matter from Right Vertebral Artery, Open Approach

03CP4ZZ Extirpation of Matter from Right Vertebral Artery, Percutaneous Endoscopic Approach

03CQ0ZZ Extirpation of Matter from Left Vertebral Artery, Open Approach

03CQ4ZZ Extirpation of Matter from Left Vertebral Artery, Percutaneous Endoscopic Approach

03CR0ZZ Extirpation of Matter from Face Artery, Open Approach

Page 4: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03CR3ZZ Extirpation of Matter from Face Artery, Percutaneous Approach

03CR4ZZ Extirpation of Matter from Face Artery, Percutaneous Endoscopic Approach

03CS0ZZ Extirpation of Matter from Right Temporal Artery, Open Approach

03CS3ZZ Extirpation of Matter from Right Temporal Artery, Percutaneous Approach

03CS4ZZ Extirpation of Matter from Right Temporal Artery, Percutaneous Endoscopic Approach

03CT0ZZ Extirpation of Matter from Left Temporal Artery, Open Approach

03CT3ZZ Extirpation of Matter from Left Temporal Artery, Percutaneous Approach

03CT4ZZ Extirpation of Matter from Left Temporal Artery, Percutaneous Endoscopic Approach

03CU0ZZ Extirpation of Matter from Right Thyroid Artery, Open Approach

03CU3ZZ Extirpation of Matter from Right Thyroid Artery, Percutaneous Approach

03CU4ZZ Extirpation of Matter from Right Thyroid Artery, Percutaneous Endoscopic Approach

03CV0ZZ Extirpation of Matter from Left Thyroid Artery, Open Approach

03CV3ZZ Extirpation of Matter from Left Thyroid Artery, Percutaneous Approach

03CV4ZZ Extirpation of Matter from Left Thyroid Artery, Percutaneous Endoscopic Approach

38.32

Resection of other

vessels of head

and neck with

anastomosis

03BH0ZZ Excision of Right Common Carotid Artery, Open Approach

03BH4ZZ Excision of Right Common Carotid Artery, Percutaneous Endoscopic Approach

03BJ0ZZ Excision of Left Common Carotid Artery, Open Approach

03BJ4ZZ Excision of Left Common Carotid Artery, Percutaneous Endoscopic Approach

03BK0ZZ Excision of Right Internal Carotid Artery, Open Approach

03BK4ZZ Excision of Right Internal Carotid Artery, Percutaneous Endoscopic Approach

03BL0ZZ Excision of Left Internal Carotid Artery, Open Approach

03BL4ZZ Excision of Left Internal Carotid Artery, Percutaneous Endoscopic Approach

03BM0ZZ Excision of Right External Carotid Artery, Open Approach

03BM4ZZ Excision of Right External Carotid Artery, Percutaneous Endoscopic Approach

03BN0ZZ Excision of Left External Carotid Artery, Open Approach

03BN4ZZ Excision of Left External Carotid Artery, Percutaneous Endoscopic Approach

03BP0ZZ Excision of Right Vertebral Artery, Open Approach

03BP4ZZ Excision of Right Vertebral Artery, Percutaneous Endoscopic Approach

03BQ0ZZ Excision of Left Vertebral Artery, Open Approach

03BQ4ZZ Excision of Left Vertebral Artery, Percutaneous Endoscopic Approach

03BR0ZZ Excision of Face Artery, Open Approach

03BR4ZZ Excision of Face Artery, Percutaneous Endoscopic Approach

03BS0ZZ Excision of Right Temporal Artery, Open Approach

03BS4ZZ Excision of Right Temporal Artery, Percutaneous Endoscopic Approach

03BT0ZZ Excision of Left Temporal Artery, Open Approach

03BT4ZZ Excision of Left Temporal Artery, Percutaneous Endoscopic Approach

03BU0ZZ Excision of Right Thyroid Artery, Open Approach

03BU4ZZ Excision of Right Thyroid Artery, Percutaneous Endoscopic Approach

03BV0ZZ Excision of Left Thyroid Artery, Open Approach

03BV4ZZ Excision of Left Thyroid Artery, Percutaneous Endoscopic Approach

05BM0ZZ Excision of Right Internal Jugular Vein, Open Approach

05BM4ZZ Excision of Right Internal Jugular Vein, Percutaneous Endoscopic Approach

05BN0ZZ Excision of Left Internal Jugular Vein, Open Approach

05BN4ZZ Excision of Left Internal Jugular Vein, Percutaneous Endoscopic Approach

05BP0ZZ Excision of Right External Jugular Vein, Open Approach

05BP4ZZ Excision of Right External Jugular Vein, Percutaneous Endoscopic Approach

05BQ0ZZ Excision of Left External Jugular Vein, Open Approach

05BQ4ZZ Excision of Left External Jugular Vein, Percutaneous Endoscopic Approach

05BR0ZZ Excision of Right Vertebral Vein, Open Approach

05BR4ZZ Excision of Right Vertebral Vein, Percutaneous Endoscopic Approach

05BS0ZZ Excision of Left Vertebral Vein, Open Approach

05BS4ZZ Excision of Left Vertebral Vein, Percutaneous Endoscopic Approach

05BT0ZZ Excision of Right Face Vein, Open Approach

05BT4ZZ Excision of Right Face Vein, Percutaneous Endoscopic Approach

05BV0ZZ Excision of Left Face Vein, Open Approach

Page 5: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

05BV4ZZ Excision of Left Face Vein, Percutaneous Endoscopic Approach

38.42

Resection of other

vessel of head and

neck replacement;

carotid artery

(common)

(external)

(internal), jugular

vein (external)

(internal)

03RH07Z Replacement of Right Common Carotid Artery with Autologous Tissue Substitute, Open Approach

03RH0JZ Replacement of Right Common Carotid Artery with Synthetic Substitute, Open Approach

03RH0KZ Replacement of Right Common Carotid Artery with Nonautologous Tissue Substitute, Open Approach

03RH47Z Replacement of Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RH4JZ Replacement of Right Common Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RH4KZ Replacement of Right Common Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RJ07Z Replacement of Left Common Carotid Artery with Autologous Tissue Substitute, Open Approach

03RJ0JZ Replacement of Left Common Carotid Artery with Synthetic Substitute, Open Approach

03RJ0KZ Replacement of Left Common Carotid Artery with Nonautologous Tissue Substitute, Open Approach

03RJ47Z Replacement of Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RJ4JZ Replacement of Left Common Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RJ4KZ Replacement of Left Common Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RK07Z Replacement of Right Internal Carotid Artery with Autologous Tissue Substitute, Open Approach

03RK0JZ Replacement of Right Internal Carotid Artery with Synthetic Substitute, Open Approach

03RK0KZ Replacement of Right Internal Carotid Artery with Nonautologous Tissue Substitute, Open Approach

03RK47Z Replacement of Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RK4JZ Replacement of Right Internal Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RK4KZ Replacement of Right Internal Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RL07Z Replacement of Left Internal Carotid Artery with Autologous Tissue Substitute, Open Approach

03RL0JZ Replacement of Left Internal Carotid Artery with Synthetic Substitute, Open Approach

03RL0KZ Replacement of Left Internal Carotid Artery with Nonautologous Tissue Substitute, Open Approach

03RL47Z Replacement of Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RL4JZ Replacement of Left Internal Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RL4KZ Replacement of Left Internal Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RM07Z Replacement of Right External Carotid Artery with Autologous Tissue Substitute, Open Approach

03RM0JZ Replacement of Right External Carotid Artery with Synthetic Substitute, Open Approach

03RM0KZ Replacement of Right External Carotid Artery with Nonautologous Tissue Substitute, Open Approach

03RM47Z Replacement of Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RM4JZ Replacement of Right External Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RM4KZ Replacement of Right External Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RN07Z Replacement of Left External Carotid Artery with Autologous Tissue Substitute, Open Approach

03RN0JZ Replacement of Left External Carotid Artery with Synthetic Substitute, Open Approach

Page 6: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03RN0KZ Replacement of Left External Carotid Artery with Nonautologous Tissue Substitute, Open Approach

03RN47Z Replacement of Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RN4JZ Replacement of Left External Carotid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RN4KZ Replacement of Left External Carotid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RP07Z Replacement of Right Vertebral Artery with Autologous Tissue Substitute, Open Approach

03RP0JZ Replacement of Right Vertebral Artery with Synthetic Substitute, Open Approach

03RP0KZ Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach

03RP47Z Replacement of Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RP4JZ Replacement of Right Vertebral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RP4KZ Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RQ07Z Replacement of Left Vertebral Artery with Autologous Tissue Substitute, Open Approach

03RQ0JZ Replacement of Left Vertebral Artery with Synthetic Substitute, Open Approach

03RQ0KZ Replacement of Left Vertebral Artery with Nonautologous Tissue Substitute, Open Approach

03RQ47Z Replacement of Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RQ4JZ Replacement of Left Vertebral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RQ4KZ Replacement of Left Vertebral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RR07Z Replacement of Face Artery with Autologous Tissue Substitute, Open Approach

03RR0JZ Replacement of Face Artery with Synthetic Substitute, Open Approach

03RR0KZ Replacement of Face Artery with Nonautologous Tissue Substitute, Open Approach

03RR47Z Replacement of Face Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RR4JZ Replacement of Face Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RR4KZ Replacement of Face Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RS07Z Replacement of Right Temporal Artery with Autologous Tissue Substitute, Open Approach

03RS0JZ Replacement of Right Temporal Artery with Synthetic Substitute, Open Approach

03RS0KZ Replacement of Right Temporal Artery with Nonautologous Tissue Substitute, Open Approach

03RS47Z Replacement of Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RS4JZ Replacement of Right Temporal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RS4KZ Replacement of Right Temporal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RT07Z Replacement of Left Temporal Artery with Autologous Tissue Substitute, Open Approach

03RT0JZ Replacement of Left Temporal Artery with Synthetic Substitute, Open Approach

03RT0KZ Replacement of Left Temporal Artery with Nonautologous Tissue Substitute, Open Approach

03RT47Z Replacement of Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RT4JZ Replacement of Left Temporal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

Page 7: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03RT4KZ Replacement of Left Temporal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RU07Z Replacement of Right Thyroid Artery with Autologous Tissue Substitute, Open Approach

03RU0JZ Replacement of Right Thyroid Artery with Synthetic Substitute, Open Approach

03RU0KZ Replacement of Right Thyroid Artery with Nonautologous Tissue Substitute, Open Approach

03RU47Z Replacement of Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RU4JZ Replacement of Right Thyroid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RU4KZ Replacement of Right Thyroid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

03RV07Z Replacement of Left Thyroid Artery with Autologous Tissue Substitute, Open Approach

03RV0JZ Replacement of Left Thyroid Artery with Synthetic Substitute, Open Approach

03RV0KZ Replacement of Left Thyroid Artery with Nonautologous Tissue Substitute, Open Approach

03RV47Z Replacement of Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

03RV4JZ Replacement of Left Thyroid Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

03RV4KZ Replacement of Left Thyroid Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RM07Z Replacement of Right Internal Jugular Vein with Autologous Tissue Substitute, Open Approach

05RM0JZ Replacement of Right Internal Jugular Vein with Synthetic Substitute, Open Approach

05RM0KZ Replacement of Right Internal Jugular Vein with Nonautologous Tissue Substitute, Open Approach

05RM47Z Replacement of Right Internal Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RM4JZ Replacement of Right Internal Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RM4KZ Replacement of Right Internal Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RN07Z Replacement of Left Internal Jugular Vein with Autologous Tissue Substitute, Open Approach

05RN0JZ Replacement of Left Internal Jugular Vein with Synthetic Substitute, Open Approach

05RN0KZ Replacement of Left Internal Jugular Vein with Nonautologous Tissue Substitute, Open Approach

05RN47Z Replacement of Left Internal Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RN4JZ Replacement of Left Internal Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RN4KZ Replacement of Left Internal Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RP07Z Replacement of Right External Jugular Vein with Autologous Tissue Substitute, Open Approach

05RP0JZ Replacement of Right External Jugular Vein with Synthetic Substitute, Open Approach

05RP0KZ Replacement of Right External Jugular Vein with Nonautologous Tissue Substitute, Open Approach

05RP47Z Replacement of Right External Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RP4JZ Replacement of Right External Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RP4KZ Replacement of Right External Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RQ07Z Replacement of Left External Jugular Vein with Autologous Tissue Substitute, Open Approach

05RQ0JZ Replacement of Left External Jugular Vein with Synthetic Substitute, Open Approach

Page 8: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

05RQ0KZ Replacement of Left External Jugular Vein with Nonautologous Tissue Substitute, Open Approach

05RQ47Z Replacement of Left External Jugular Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RQ4JZ Replacement of Left External Jugular Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RQ4KZ Replacement of Left External Jugular Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RR07Z Replacement of Right Vertebral Vein with Autologous Tissue Substitute, Open Approach

05RR0JZ Replacement of Right Vertebral Vein with Synthetic Substitute, Open Approach

05RR0KZ Replacement of Right Vertebral Vein with Nonautologous Tissue Substitute, Open Approach

05RR47Z Replacement of Right Vertebral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RR4JZ Replacement of Right Vertebral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RR4KZ Replacement of Right Vertebral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RS07Z Replacement of Left Vertebral Vein with Autologous Tissue Substitute, Open Approach

05RS0JZ Replacement of Left Vertebral Vein with Synthetic Substitute, Open Approach

05RS0KZ Replacement of Left Vertebral Vein with Nonautologous Tissue Substitute, Open Approach

05RS47Z Replacement of Left Vertebral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RS4JZ Replacement of Left Vertebral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RS4KZ Replacement of Left Vertebral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RT07Z Replacement of Right Face Vein with Autologous Tissue Substitute, Open Approach

05RT0JZ Replacement of Right Face Vein with Synthetic Substitute, Open Approach

05RT0KZ Replacement of Right Face Vein with Nonautologous Tissue Substitute, Open Approach

05RT47Z Replacement of Right Face Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RT4JZ Replacement of Right Face Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RT4KZ Replacement of Right Face Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

05RV07Z Replacement of Left Face Vein with Autologous Tissue Substitute, Open Approach

05RV0JZ Replacement of Left Face Vein with Synthetic Substitute, Open Approach

05RV0KZ Replacement of Left Face Vein with Nonautologous Tissue Substitute, Open Approach

05RV47Z Replacement of Left Face Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

05RV4JZ Replacement of Left Face Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

05RV4KZ Replacement of Left Face Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06R307Z Replacement of Esophageal Vein with Autologous Tissue Substitute, Open Approach

06R30JZ Replacement of Esophageal Vein with Synthetic Substitute, Open Approach

06R30KZ Replacement of Esophageal Vein with Nonautologous Tissue Substitute, Open Approach

06R347Z Replacement of Esophageal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

06R34JZ Replacement of Esophageal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

06R34KZ Replacement of Esophageal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

02HP03Z Insertion of Infusion Device into Pulmonary Trunk, Open Approach

Page 9: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

38.91

Arterial

catheterization

02HP33Z Insertion of Infusion Device into Pulmonary Trunk, Percutaneous Approach

02HP43Z Insertion of Infusion Device into Pulmonary Trunk, Percutaneous Endoscopic Approach

02HQ03Z Insertion of Infusion Device into Right Pulmonary Artery, Open Approach

02HQ33Z Insertion of Infusion Device into Right Pulmonary Artery, Percutaneous Approach

02HQ43Z Insertion of Infusion Device into Right Pulmonary Artery, Percutaneous Endoscopic Approach

02HR03Z Insertion of Infusion Device into Left Pulmonary Artery, Open Approach

02HR33Z Insertion of Infusion Device into Left Pulmonary Artery, Percutaneous Approach

02HR43Z Insertion of Infusion Device into Left Pulmonary Artery, Percutaneous Endoscopic Approach

02HW03Z Insertion of Infusion Device into Thoracic Aorta, Open Approach

02HW33Z Insertion of Infusion Device into Thoracic Aorta, Percutaneous Approach

02HW43Z Insertion of Infusion Device into Thoracic Aorta, Percutaneous Endoscopic Approach

03H003Z Insertion of Infusion Device into Right Internal Mammary Artery, Open Approach

03H033Z Insertion of Infusion Device into Right Internal Mammary Artery, Percutaneous Approach

03H043Z Insertion of Infusion Device into Right Internal Mammary Artery, Percutaneous Endoscopic Approach

03H103Z Insertion of Infusion Device into Left Internal Mammary Artery, Open Approach

03H133Z Insertion of Infusion Device into Left Internal Mammary Artery, Percutaneous Approach

03H143Z Insertion of Infusion Device into Left Internal Mammary Artery, Percutaneous Endoscopic Approach

03H203Z Insertion of Infusion Device into Innominate Artery, Open Approach

03H233Z Insertion of Infusion Device into Innominate Artery, Percutaneous Approach

03H243Z Insertion of Infusion Device into Innominate Artery, Percutaneous Endoscopic Approach

03H303Z Insertion of Infusion Device into Right Subclavian Artery, Open Approach

03H333Z Insertion of Infusion Device into Right Subclavian Artery, Percutaneous Approach

03H343Z Insertion of Infusion Device into Right Subclavian Artery, Percutaneous Endoscopic Approach

03H403Z Insertion of Infusion Device into Left Subclavian Artery, Open Approach

03H433Z Insertion of Infusion Device into Left Subclavian Artery, Percutaneous Approach

03H443Z Insertion of Infusion Device into Left Subclavian Artery, Percutaneous Endoscopic Approach

03H503Z Insertion of Infusion Device into Right Axillary Artery, Open Approach

03H533Z Insertion of Infusion Device into Right Axillary Artery, Percutaneous Approach

03H543Z Insertion of Infusion Device into Right Axillary Artery, Percutaneous Endoscopic Approach

03H603Z Insertion of Infusion Device into Left Axillary Artery, Open Approach

03H633Z Insertion of Infusion Device into Left Axillary Artery, Percutaneous Approach

03H643Z Insertion of Infusion Device into Left Axillary Artery, Percutaneous Endoscopic Approach

03H703Z Insertion of Infusion Device into Right Brachial Artery, Open Approach

03H733Z Insertion of Infusion Device into Right Brachial Artery, Percutaneous Approach

03H743Z Insertion of Infusion Device into Right Brachial Artery, Percutaneous Endoscopic Approach

03H803Z Insertion of Infusion Device into Left Brachial Artery, Open Approach

03H833Z Insertion of Infusion Device into Left Brachial Artery, Percutaneous Approach

03H843Z Insertion of Infusion Device into Left Brachial Artery, Percutaneous Endoscopic Approach

03H903Z Insertion of Infusion Device into Right Ulnar Artery, Open Approach

03H933Z Insertion of Infusion Device into Right Ulnar Artery, Percutaneous Approach

Page 10: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03H943Z Insertion of Infusion Device into Right Ulnar Artery, Percutaneous Endoscopic Approach

03HA03Z Insertion of Infusion Device into Left Ulnar Artery, Open Approach

03HA33Z Insertion of Infusion Device into Left Ulnar Artery, Percutaneous Approach

03HA43Z Insertion of Infusion Device into Left Ulnar Artery, Percutaneous Endoscopic Approach

03HB03Z Insertion of Infusion Device into Right Radial Artery, Open Approach

03HB33Z Insertion of Infusion Device into Right Radial Artery, Percutaneous Approach

03HB43Z Insertion of Infusion Device into Right Radial Artery, Percutaneous Endoscopic Approach

03HC03Z Insertion of Infusion Device into Left Radial Artery, Open Approach

03HC33Z Insertion of Infusion Device into Left Radial Artery, Percutaneous Approach

03HC43Z Insertion of Infusion Device into Left Radial Artery, Percutaneous Endoscopic Approach

03HD03Z Insertion of Infusion Device into Right Hand Artery, Open Approach

03HD33Z Insertion of Infusion Device into Right Hand Artery, Percutaneous Approach

03HD43Z Insertion of Infusion Device into Right Hand Artery, Percutaneous Endoscopic Approach

03HF03Z Insertion of Infusion Device into Left Hand Artery, Open Approach

03HF33Z Insertion of Infusion Device into Left Hand Artery, Percutaneous Approach

03HF43Z Insertion of Infusion Device into Left Hand Artery, Percutaneous Endoscopic Approach

03HG03Z Insertion of Infusion Device into Intracranial Artery, Open Approach

03HG33Z Insertion of Infusion Device into Intracranial Artery, Percutaneous Approach

03HG43Z Insertion of Infusion Device into Intracranial Artery, Percutaneous Endoscopic Approach

03HH03Z Insertion of Infusion Device into Right Common Carotid Artery, Open Approach

03HH33Z Insertion of Infusion Device into Right Common Carotid Artery, Percutaneous Approach

03HH43Z Insertion of Infusion Device into Right Common Carotid Artery, Percutaneous Endoscopic Approach

03HJ03Z Insertion of Infusion Device into Left Common Carotid Artery, Open Approach

03HJ33Z Insertion of Infusion Device into Left Common Carotid Artery, Percutaneous Approach

03HJ43Z Insertion of Infusion Device into Left Common Carotid Artery, Percutaneous Endoscopic Approach

03HK03Z Insertion of Infusion Device into Right Internal Carotid Artery, Open Approach

03HK33Z Insertion of Infusion Device into Right Internal Carotid Artery, Percutaneous Approach

03HK43Z Insertion of Infusion Device into Right Internal Carotid Artery, Percutaneous Endoscopic Approach

03HL03Z Insertion of Infusion Device into Left Internal Carotid Artery, Open Approach

03HL33Z Insertion of Infusion Device into Left Internal Carotid Artery, Percutaneous Approach

03HL43Z Insertion of Infusion Device into Left Internal Carotid Artery, Percutaneous Endoscopic Approach

03HM03Z Insertion of Infusion Device into Right External Carotid Artery, Open Approach

03HM33Z Insertion of Infusion Device into Right External Carotid Artery, Percutaneous Approach

03HM43Z Insertion of Infusion Device into Right External Carotid Artery, Percutaneous Endoscopic Approach

03HN03Z Insertion of Infusion Device into Left External Carotid Artery, Open Approach

03HN33Z Insertion of Infusion Device into Left External Carotid Artery, Percutaneous Approach

03HN43Z Insertion of Infusion Device into Left External Carotid Artery, Percutaneous Endoscopic Approach

03HP03Z Insertion of Infusion Device into Right Vertebral Artery, Open Approach

03HP33Z Insertion of Infusion Device into Right Vertebral Artery, Percutaneous Approach

Page 11: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03HP43Z Insertion of Infusion Device into Right Vertebral Artery, Percutaneous Endoscopic Approach

03HQ03Z Insertion of Infusion Device into Left Vertebral Artery, Open Approach

03HQ33Z Insertion of Infusion Device into Left Vertebral Artery, Percutaneous Approach

03HQ43Z Insertion of Infusion Device into Left Vertebral Artery, Percutaneous Endoscopic Approach

03HR03Z Insertion of Infusion Device into Face Artery, Open Approach

03HR33Z Insertion of Infusion Device into Face Artery, Percutaneous Approach

03HR43Z Insertion of Infusion Device into Face Artery, Percutaneous Endoscopic Approach

03HS03Z Insertion of Infusion Device into Right Temporal Artery, Open Approach

03HS33Z Insertion of Infusion Device into Right Temporal Artery, Percutaneous Approach

03HS43Z Insertion of Infusion Device into Right Temporal Artery, Percutaneous Endoscopic Approach

03HT03Z Insertion of Infusion Device into Left Temporal Artery, Open Approach

03HT33Z Insertion of Infusion Device into Left Temporal Artery, Percutaneous Approach

03HT43Z Insertion of Infusion Device into Left Temporal Artery, Percutaneous Endoscopic Approach

03HU03Z Insertion of Infusion Device into Right Thyroid Artery, Open Approach

03HU33Z Insertion of Infusion Device into Right Thyroid Artery, Percutaneous Approach

03HU43Z Insertion of Infusion Device into Right Thyroid Artery, Percutaneous Endoscopic Approach

03HV03Z Insertion of Infusion Device into Left Thyroid Artery, Open Approach

03HV33Z Insertion of Infusion Device into Left Thyroid Artery, Percutaneous Approach

03HV43Z Insertion of Infusion Device into Left Thyroid Artery, Percutaneous Endoscopic Approach

03HY03Z Insertion of Infusion Device into Upper Artery, Open Approach

03HY33Z Insertion of Infusion Device into Upper Artery, Percutaneous Approach

03HY43Z Insertion of Infusion Device into Upper Artery, Percutaneous Endoscopic Approach

04H003Z Insertion of Infusion Device into Abdominal Aorta, Open Approach

04H033Z Insertion of Infusion Device into Abdominal Aorta, Percutaneous Approach

04H043Z Insertion of Infusion Device into Abdominal Aorta, Percutaneous Endoscopic Approach

04H103Z Insertion of Infusion Device into Celiac Artery, Open Approach

04H133Z Insertion of Infusion Device into Celiac Artery, Percutaneous Approach

04H143Z Insertion of Infusion Device into Celiac Artery, Percutaneous Endoscopic Approach

04H203Z Insertion of Infusion Device into Gastric Artery, Open Approach

04H233Z Insertion of Infusion Device into Gastric Artery, Percutaneous Approach

04H243Z Insertion of Infusion Device into Gastric Artery, Percutaneous Endoscopic Approach

04H303Z Insertion of Infusion Device into Hepatic Artery, Open Approach

04H333Z Insertion of Infusion Device into Hepatic Artery, Percutaneous Approach

04H343Z Insertion of Infusion Device into Hepatic Artery, Percutaneous Endoscopic Approach

04H403Z Insertion of Infusion Device into Splenic Artery, Open Approach

04H433Z Insertion of Infusion Device into Splenic Artery, Percutaneous Approach

04H443Z Insertion of Infusion Device into Splenic Artery, Percutaneous Endoscopic Approach

04H503Z Insertion of Infusion Device into Superior Mesenteric Artery, Open Approach

04H533Z Insertion of Infusion Device into Superior Mesenteric Artery, Percutaneous Approach

04H543Z Insertion of Infusion Device into Superior Mesenteric Artery, Percutaneous Endoscopic Approach

04H603Z Insertion of Infusion Device into Right Colic Artery, Open Approach

04H633Z Insertion of Infusion Device into Right Colic Artery, Percutaneous Approach

04H643Z Insertion of Infusion Device into Right Colic Artery, Percutaneous Endoscopic Approach

04H703Z Insertion of Infusion Device into Left Colic Artery, Open Approach

04H733Z Insertion of Infusion Device into Left Colic Artery, Percutaneous Approach

Page 12: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

04H743Z Insertion of Infusion Device into Left Colic Artery, Percutaneous Endoscopic Approach

04H803Z Insertion of Infusion Device into Middle Colic Artery, Open Approach

04H833Z Insertion of Infusion Device into Middle Colic Artery, Percutaneous Approach

04H843Z Insertion of Infusion Device into Middle Colic Artery, Percutaneous Endoscopic Approach

04H903Z Insertion of Infusion Device into Right Renal Artery, Open Approach

04H933Z Insertion of Infusion Device into Right Renal Artery, Percutaneous Approach

04H943Z Insertion of Infusion Device into Right Renal Artery, Percutaneous Endoscopic Approach

04HA03Z Insertion of Infusion Device into Left Renal Artery, Open Approach

04HA33Z Insertion of Infusion Device into Left Renal Artery, Percutaneous Approach

04HA43Z Insertion of Infusion Device into Left Renal Artery, Percutaneous Endoscopic Approach

04HB03Z Insertion of Infusion Device into Inferior Mesenteric Artery, Open Approach

04HB33Z Insertion of Infusion Device into Inferior Mesenteric Artery, Percutaneous Approach

04HB43Z Insertion of Infusion Device into Inferior Mesenteric Artery, Percutaneous Endoscopic Approach

04HC03Z Insertion of Infusion Device into Right Common Iliac Artery, Open Approach

04HC33Z Insertion of Infusion Device into Right Common Iliac Artery, Percutaneous Approach

04HC43Z Insertion of Infusion Device into Right Common Iliac Artery, Percutaneous Endoscopic Approach

04HD03Z Insertion of Infusion Device into Left Common Iliac Artery, Open Approach

04HD33Z Insertion of Infusion Device into Left Common Iliac Artery, Percutaneous Approach

04HD43Z Insertion of Infusion Device into Left Common Iliac Artery, Percutaneous Endoscopic Approach

04HE03Z Insertion of Infusion Device into Right Internal Iliac Artery, Open Approach

04HE33Z Insertion of Infusion Device into Right Internal Iliac Artery, Percutaneous Approach

04HE43Z Insertion of Infusion Device into Right Internal Iliac Artery, Percutaneous Endoscopic Approach

04HF03Z Insertion of Infusion Device into Left Internal Iliac Artery, Open Approach

04HF33Z Insertion of Infusion Device into Left Internal Iliac Artery, Percutaneous Approach

04HF43Z Insertion of Infusion Device into Left Internal Iliac Artery, Percutaneous Endoscopic Approach

04HH03Z Insertion of Infusion Device into Right External Iliac Artery, Open Approach

04HH33Z Insertion of Infusion Device into Right External Iliac Artery, Percutaneous Approach

04HH43Z Insertion of Infusion Device into Right External Iliac Artery, Percutaneous Endoscopic Approach

04HJ03Z Insertion of Infusion Device into Left External Iliac Artery, Open Approach

04HJ33Z Insertion of Infusion Device into Left External Iliac Artery, Percutaneous Approach

04HJ43Z Insertion of Infusion Device into Left External Iliac Artery, Percutaneous Endoscopic Approach

04HK03Z Insertion of Infusion Device into Right Femoral Artery, Open Approach

04HK33Z Insertion of Infusion Device into Right Femoral Artery, Percutaneous Approach

04HK43Z Insertion of Infusion Device into Right Femoral Artery, Percutaneous Endoscopic Approach

04HL03Z Insertion of Infusion Device into Left Femoral Artery, Open Approach

04HL33Z Insertion of Infusion Device into Left Femoral Artery, Percutaneous Approach

04HL43Z Insertion of Infusion Device into Left Femoral Artery, Percutaneous Endoscopic Approach

04HM03Z Insertion of Infusion Device into Right Popliteal Artery, Open Approach

04HM33Z Insertion of Infusion Device into Right Popliteal Artery, Percutaneous Approach

04HM43Z Insertion of Infusion Device into Right Popliteal Artery, Percutaneous Endoscopic Approach

Page 13: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

04HN03Z Insertion of Infusion Device into Left Popliteal Artery, Open Approach

04HN33Z Insertion of Infusion Device into Left Popliteal Artery, Percutaneous Approach

04HN43Z Insertion of Infusion Device into Left Popliteal Artery, Percutaneous Endoscopic Approach

04HP03Z Insertion of Infusion Device into Right Anterior Tibial Artery, Open Approach

04HP33Z Insertion of Infusion Device into Right Anterior Tibial Artery, Percutaneous Approach

04HP43Z Insertion of Infusion Device into Right Anterior Tibial Artery, Percutaneous Endoscopic Approach

04HQ03Z Insertion of Infusion Device into Left Anterior Tibial Artery, Open Approach

04HQ33Z Insertion of Infusion Device into Left Anterior Tibial Artery, Percutaneous Approach

04HQ43Z Insertion of Infusion Device into Left Anterior Tibial Artery, Percutaneous Endoscopic Approach

04HR03Z Insertion of Infusion Device into Right Posterior Tibial Artery, Open Approach

04HR33Z Insertion of Infusion Device into Right Posterior Tibial Artery, Percutaneous Approach

04HR43Z Insertion of Infusion Device into Right Posterior Tibial Artery, Percutaneous Endoscopic Approach

04HS03Z Insertion of Infusion Device into Left Posterior Tibial Artery, Open Approach

04HS33Z Insertion of Infusion Device into Left Posterior Tibial Artery, Percutaneous Approach

04HS43Z Insertion of Infusion Device into Left Posterior Tibial Artery, Percutaneous Endoscopic Approach

04HT03Z Insertion of Infusion Device into Right Peroneal Artery, Open Approach

04HT33Z Insertion of Infusion Device into Right Peroneal Artery, Percutaneous Approach

04HT43Z Insertion of Infusion Device into Right Peroneal Artery, Percutaneous Endoscopic Approach

04HU03Z Insertion of Infusion Device into Left Peroneal Artery, Open Approach

04HU33Z Insertion of Infusion Device into Left Peroneal Artery, Percutaneous Approach

04HU43Z Insertion of Infusion Device into Left Peroneal Artery, Percutaneous Endoscopic Approach

04HV03Z Insertion of Infusion Device into Right Foot Artery, Open Approach

04HV33Z Insertion of Infusion Device into Right Foot Artery, Percutaneous Approach

04HV43Z Insertion of Infusion Device into Right Foot Artery, Percutaneous Endoscopic Approach

04HW03Z Insertion of Infusion Device into Left Foot Artery, Open Approach

04HW33Z Insertion of Infusion Device into Left Foot Artery, Percutaneous Approach

04HW43Z Insertion of Infusion Device into Left Foot Artery, Percutaneous Endoscopic Approach

04HY03Z Insertion of Infusion Device into Lower Artery, Open Approach

04HY33Z Insertion of Infusion Device into Lower Artery, Percutaneous Approach

04HY43Z Insertion of Infusion Device into Lower Artery, Percutaneous Endoscopic Approach

38.93

Venous

catheterization,

not elsewhere

classified

02H633Z Insertion of Infusion Device into Right Atrium, Percutaneous Approach

02HK33Z Insertion of Infusion Device into Right Ventricle, Percutaneous Approach

02HS03Z Insertion of Infusion Device into Right Pulmonary Vein, Open Approach

02HS33Z Insertion of Infusion Device into Right Pulmonary Vein, Percutaneous Approach

02HS43Z Insertion of Infusion Device into Right Pulmonary Vein, Percutaneous Endoscopic Approach

02HT03Z Insertion of Infusion Device into Left Pulmonary Vein, Open Approach

02HT33Z Insertion of Infusion Device into Left Pulmonary Vein, Percutaneous Approach

02HT43Z Insertion of Infusion Device into Left Pulmonary Vein, Percutaneous Endoscopic Approach

02HV03Z Insertion of Infusion Device into Superior Vena Cava, Open Approach

02HV33Z Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach

02HV43Z Insertion of Infusion Device into Superior Vena Cava, Percutaneous Endoscopic Approach

Page 14: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

05H003Z Insertion of Infusion Device into Azygos Vein, Open Approach

05H033Z Insertion of Infusion Device into Azygos Vein, Percutaneous Approach

05H043Z Insertion of Infusion Device into Azygos Vein, Percutaneous Endoscopic Approach

05H103Z Insertion of Infusion Device into Hemiazygos Vein, Open Approach

05H133Z Insertion of Infusion Device into Hemiazygos Vein, Percutaneous Approach

05H143Z Insertion of Infusion Device into Hemiazygos Vein, Percutaneous Endoscopic Approach

05H303Z Insertion of Infusion Device into Right Innominate Vein, Open Approach

05H333Z Insertion of Infusion Device into Right Innominate Vein, Percutaneous Approach

05H343Z Insertion of Infusion Device into Right Innominate Vein, Percutaneous Endoscopic Approach

05H403Z Insertion of Infusion Device into Left Innominate Vein, Open Approach

05H433Z Insertion of Infusion Device into Left Innominate Vein, Percutaneous Approach

05H443Z Insertion of Infusion Device into Left Innominate Vein, Percutaneous Endoscopic Approach

05H503Z Insertion of Infusion Device into Right Subclavian Vein, Open Approach

05H533Z Insertion of Infusion Device into Right Subclavian Vein, Percutaneous Approach

05H543Z Insertion of Infusion Device into Right Subclavian Vein, Percutaneous Endoscopic Approach

05H603Z Insertion of Infusion Device into Left Subclavian Vein, Open Approach

05H633Z Insertion of Infusion Device into Left Subclavian Vein, Percutaneous Approach

05H643Z Insertion of Infusion Device into Left Subclavian Vein, Percutaneous Endoscopic Approach

05H703Z Insertion of Infusion Device into Right Axillary Vein, Open Approach

05H733Z Insertion of Infusion Device into Right Axillary Vein, Percutaneous Approach

05H743Z Insertion of Infusion Device into Right Axillary Vein, Percutaneous Endoscopic Approach

05H803Z Insertion of Infusion Device into Left Axillary Vein, Open Approach

05H833Z Insertion of Infusion Device into Left Axillary Vein, Percutaneous Approach

05H843Z Insertion of Infusion Device into Left Axillary Vein, Percutaneous Endoscopic Approach

05H903Z Insertion of Infusion Device into Right Brachial Vein, Open Approach

05H933Z Insertion of Infusion Device into Right Brachial Vein, Percutaneous Approach

05H943Z Insertion of Infusion Device into Right Brachial Vein, Percutaneous Endoscopic Approach

05HA03Z Insertion of Infusion Device into Left Brachial Vein, Open Approach

05HA33Z Insertion of Infusion Device into Left Brachial Vein, Percutaneous Approach

05HA43Z Insertion of Infusion Device into Left Brachial Vein, Percutaneous Endoscopic Approach

05HB03Z Insertion of Infusion Device into Right Basilic Vein, Open Approach

05HB33Z Insertion of Infusion Device into Right Basilic Vein, Percutaneous Approach

05HB43Z Insertion of Infusion Device into Right Basilic Vein, Percutaneous Endoscopic Approach

05HC03Z Insertion of Infusion Device into Left Basilic Vein, Open Approach

05HC33Z Insertion of Infusion Device into Left Basilic Vein, Percutaneous Approach

05HC43Z Insertion of Infusion Device into Left Basilic Vein, Percutaneous Endoscopic Approach

05HD03Z Insertion of Infusion Device into Right Cephalic Vein, Open Approach

05HD33Z Insertion of Infusion Device into Right Cephalic Vein, Percutaneous Approach

05HD43Z Insertion of Infusion Device into Right Cephalic Vein, Percutaneous Endoscopic Approach

05HF03Z Insertion of Infusion Device into Left Cephalic Vein, Open Approach

05HF33Z Insertion of Infusion Device into Left Cephalic Vein, Percutaneous Approach

05HF43Z Insertion of Infusion Device into Left Cephalic Vein, Percutaneous Endoscopic Approach

05HG03Z Insertion of Infusion Device into Right Hand Vein, Open Approach

05HG33Z Insertion of Infusion Device into Right Hand Vein, Percutaneous Approach

Page 15: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

05HG43Z Insertion of Infusion Device into Right Hand Vein, Percutaneous Endoscopic Approach

05HH03Z Insertion of Infusion Device into Left Hand Vein, Open Approach

05HH33Z Insertion of Infusion Device into Left Hand Vein, Percutaneous Approach

05HH43Z Insertion of Infusion Device into Left Hand Vein, Percutaneous Endoscopic Approach

05HL03Z Insertion of Infusion Device into Intracranial Vein, Open Approach

05HL33Z Insertion of Infusion Device into Intracranial Vein, Percutaneous Approach

05HL43Z Insertion of Infusion Device into Intracranial Vein, Percutaneous Endoscopic Approach

05HM03Z Insertion of Infusion Device into Right Internal Jugular Vein, Open Approach

05HM33Z Insertion of Infusion Device into Right Internal Jugular Vein, Percutaneous Approach

05HM43Z Insertion of Infusion Device into Right Internal Jugular Vein, Percutaneous Endoscopic Approach

05HN03Z Insertion of Infusion Device into Left Internal Jugular Vein, Open Approach

05HN33Z Insertion of Infusion Device into Left Internal Jugular Vein, Percutaneous Approach

05HN43Z Insertion of Infusion Device into Left Internal Jugular Vein, Percutaneous Endoscopic Approach

05HP03Z Insertion of Infusion Device into Right External Jugular Vein, Open Approach

05HP33Z Insertion of Infusion Device into Right External Jugular Vein, Percutaneous Approach

05HP43Z Insertion of Infusion Device into Right External Jugular Vein, Percutaneous Endoscopic Approach

05HQ03Z Insertion of Infusion Device into Left External Jugular Vein, Open Approach

05HQ33Z Insertion of Infusion Device into Left External Jugular Vein, Percutaneous Approach

05HQ43Z Insertion of Infusion Device into Left External Jugular Vein, Percutaneous Endoscopic Approach

05HR03Z Insertion of Infusion Device into Right Vertebral Vein, Open Approach

05HR33Z Insertion of Infusion Device into Right Vertebral Vein, Percutaneous Approach

05HR43Z Insertion of Infusion Device into Right Vertebral Vein, Percutaneous Endoscopic Approach

05HS03Z Insertion of Infusion Device into Left Vertebral Vein, Open Approach

05HS33Z Insertion of Infusion Device into Left Vertebral Vein, Percutaneous Approach

05HS43Z Insertion of Infusion Device into Left Vertebral Vein, Percutaneous Endoscopic Approach

05HT03Z Insertion of Infusion Device into Right Face Vein, Open Approach

05HT33Z Insertion of Infusion Device into Right Face Vein, Percutaneous Approach

05HT43Z Insertion of Infusion Device into Right Face Vein, Percutaneous Endoscopic Approach

05HV03Z Insertion of Infusion Device into Left Face Vein, Open Approach

05HV33Z Insertion of Infusion Device into Left Face Vein, Percutaneous Approach

05HV43Z Insertion of Infusion Device into Left Face Vein, Percutaneous Endoscopic Approach

05HY03Z Insertion of Infusion Device into Upper Vein, Open Approach

05HY33Z Insertion of Infusion Device into Upper Vein, Percutaneous Approach

05HY43Z Insertion of Infusion Device into Upper Vein, Percutaneous Endoscopic Approach

06H003Z Insertion of Infusion Device into Inferior Vena Cava, Open Approach

06H033Z Insertion of Infusion Device into Inferior Vena Cava, Percutaneous Approach

06H043Z Insertion of Infusion Device into Inferior Vena Cava, Percutaneous Endoscopic Approach

06H103Z Insertion of Infusion Device into Splenic Vein, Open Approach

06H133Z Insertion of Infusion Device into Splenic Vein, Percutaneous Approach

06H143Z Insertion of Infusion Device into Splenic Vein, Percutaneous Endoscopic Approach

06H203Z Insertion of Infusion Device into Gastric Vein, Open Approach

06H233Z Insertion of Infusion Device into Gastric Vein, Percutaneous Approach

06H243Z Insertion of Infusion Device into Gastric Vein, Percutaneous Endoscopic Approach

06H303Z Insertion of Infusion Device into Esophageal Vein, Open Approach

Page 16: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

06H333Z Insertion of Infusion Device into Esophageal Vein, Percutaneous Approach

06H343Z Insertion of Infusion Device into Esophageal Vein, Percutaneous Endoscopic Approach

06H403Z Insertion of Infusion Device into Hepatic Vein, Open Approach

06H433Z Insertion of Infusion Device into Hepatic Vein, Percutaneous Approach

06H443Z Insertion of Infusion Device into Hepatic Vein, Percutaneous Endoscopic Approach

06H503Z Insertion of Infusion Device into Superior Mesenteric Vein, Open Approach

06H533Z Insertion of Infusion Device into Superior Mesenteric Vein, Percutaneous Approach

06H543Z Insertion of Infusion Device into Superior Mesenteric Vein, Percutaneous Endoscopic Approach

06H603Z Insertion of Infusion Device into Inferior Mesenteric Vein, Open Approach

06H633Z Insertion of Infusion Device into Inferior Mesenteric Vein, Percutaneous Approach

06H643Z Insertion of Infusion Device into Inferior Mesenteric Vein, Percutaneous Endoscopic Approach

06H703Z Insertion of Infusion Device into Colic Vein, Open Approach

06H733Z Insertion of Infusion Device into Colic Vein, Percutaneous Approach

06H743Z Insertion of Infusion Device into Colic Vein, Percutaneous Endoscopic Approach

06H803Z Insertion of Infusion Device into Portal Vein, Open Approach

06H833Z Insertion of Infusion Device into Portal Vein, Percutaneous Approach

06H843Z Insertion of Infusion Device into Portal Vein, Percutaneous Endoscopic Approach

06H903Z Insertion of Infusion Device into Right Renal Vein, Open Approach

06H933Z Insertion of Infusion Device into Right Renal Vein, Percutaneous Approach

06H943Z Insertion of Infusion Device into Right Renal Vein, Percutaneous Endoscopic Approach

06HB03Z Insertion of Infusion Device into Left Renal Vein, Open Approach

06HB33Z Insertion of Infusion Device into Left Renal Vein, Percutaneous Approach

06HB43Z Insertion of Infusion Device into Left Renal Vein, Percutaneous Endoscopic Approach

06HC03Z Insertion of Infusion Device into Right Common Iliac Vein, Open Approach

06HC33Z Insertion of Infusion Device into Right Common Iliac Vein, Percutaneous Approach

06HC43Z Insertion of Infusion Device into Right Common Iliac Vein, Percutaneous Endoscopic Approach

06HD03Z Insertion of Infusion Device into Left Common Iliac Vein, Open Approach

06HD33Z Insertion of Infusion Device into Left Common Iliac Vein, Percutaneous Approach

06HD43Z Insertion of Infusion Device into Left Common Iliac Vein, Percutaneous Endoscopic Approach

06HF03Z Insertion of Infusion Device into Right External Iliac Vein, Open Approach

06HF33Z Insertion of Infusion Device into Right External Iliac Vein, Percutaneous Approach

06HF43Z Insertion of Infusion Device into Right External Iliac Vein, Percutaneous Endoscopic Approach

06HG03Z Insertion of Infusion Device into Left External Iliac Vein, Open Approach

06HG33Z Insertion of Infusion Device into Left External Iliac Vein, Percutaneous Approach

06HG43Z Insertion of Infusion Device into Left External Iliac Vein, Percutaneous Endoscopic Approach

06HH03Z Insertion of Infusion Device into Right Hypogastric Vein, Open Approach

06HH33Z Insertion of Infusion Device into Right Hypogastric Vein, Percutaneous Approach

06HH43Z Insertion of Infusion Device into Right Hypogastric Vein, Percutaneous Endoscopic Approach

06HJ03Z Insertion of Infusion Device into Left Hypogastric Vein, Open Approach

06HJ33Z Insertion of Infusion Device into Left Hypogastric Vein, Percutaneous Approach

06HJ43Z Insertion of Infusion Device into Left Hypogastric Vein, Percutaneous Endoscopic Approach

06HM03Z Insertion of Infusion Device into Right Femoral Vein, Open Approach

Page 17: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

06HM33Z Insertion of Infusion Device into Right Femoral Vein, Percutaneous Approach

06HM43Z Insertion of Infusion Device into Right Femoral Vein, Percutaneous Endoscopic Approach

06HN03Z Insertion of Infusion Device into Left Femoral Vein, Open Approach

06HN33Z Insertion of Infusion Device into Left Femoral Vein, Percutaneous Approach

06HN43Z Insertion of Infusion Device into Left Femoral Vein, Percutaneous Endoscopic Approach

06HP03Z Insertion of Infusion Device into Right Greater Saphenous Vein, Open Approach

06HP33Z Insertion of Infusion Device into Right Greater Saphenous Vein, Percutaneous Approach

06HP43Z Insertion of Infusion Device into Right Greater Saphenous Vein, Percutaneous Endoscopic Approach

06HQ03Z Insertion of Infusion Device into Left Greater Saphenous Vein, Open Approach

06HQ33Z Insertion of Infusion Device into Left Greater Saphenous Vein, Percutaneous Approach

06HQ43Z Insertion of Infusion Device into Left Greater Saphenous Vein, Percutaneous Endoscopic Approach

06HR03Z Insertion of Infusion Device into Right Lesser Saphenous Vein, Open Approach

06HR33Z Insertion of Infusion Device into Right Lesser Saphenous Vein, Percutaneous Approach

06HR43Z Insertion of Infusion Device into Right Lesser Saphenous Vein, Percutaneous Endoscopic Approach

06HS03Z Insertion of Infusion Device into Left Lesser Saphenous Vein, Open Approach

06HS33Z Insertion of Infusion Device into Left Lesser Saphenous Vein, Percutaneous Approach

06HS43Z Insertion of Infusion Device into Left Lesser Saphenous Vein, Percutaneous Endoscopic Approach

06HT03Z Insertion of Infusion Device into Right Foot Vein, Open Approach

06HT33Z Insertion of Infusion Device into Right Foot Vein, Percutaneous Approach

06HT43Z Insertion of Infusion Device into Right Foot Vein, Percutaneous Endoscopic Approach

06HV03Z Insertion of Infusion Device into Left Foot Vein, Open Approach

06HV33Z Insertion of Infusion Device into Left Foot Vein, Percutaneous Approach

06HV43Z Insertion of Infusion Device into Left Foot Vein, Percutaneous Endoscopic Approach

06HY03Z Insertion of Infusion Device into Lower Vein, Open Approach

06HY33Z Insertion of Infusion Device into Lower Vein, Percutaneous Approach

06HY43Z Insertion of Infusion Device into Lower Vein, Percutaneous Endoscopic Approach

0JH60XZ Insertion of Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Open Approach

0JH63XZ Insertion of Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH80XZ Insertion of Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

0JH83XZ Insertion of Vascular Access Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHD0XZ Insertion of Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Open Approach

0JHD3XZ Insertion of Vascular Access Device into Right Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHF0XZ Insertion of Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Open Approach

0JHF3XZ Insertion of Vascular Access Device into Left Upper Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHG0XZ Insertion of Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Open Approach

0JHG3XZ Insertion of Vascular Access Device into Right Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHH0XZ Insertion of Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Open Approach

Page 18: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

0JHH3XZ Insertion of Vascular Access Device into Left Lower Arm Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHL0XZ Insertion of Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Open Approach

0JHL3XZ Insertion of Vascular Access Device into Right Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHM0XZ Insertion of Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Open Approach

0JHM3XZ Insertion of Vascular Access Device into Left Upper Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHN0XZ Insertion of Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Open Approach

0JHN3XZ Insertion of Vascular Access Device into Right Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

0JHP0XZ Insertion of Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Open Approach

0JHP3XZ Insertion of Vascular Access Device into Left Lower Leg Subcutaneous Tissue and Fascia, Percutaneous Approach

39.42

Revision of

arteriovenous

shunt for renal

dialysis

031209D Bypass Innominate Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031209F Bypass Innominate Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03120AD Bypass Innominate Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03120AF Bypass Innominate Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03120JD Bypass Innominate Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03120JF Bypass Innominate Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03120KD Bypass Innominate Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03120KF Bypass Innominate Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03120ZD Bypass Innominate Artery to Upper Arm Vein, Open Approach

03120ZF Bypass Innominate Artery to Lower Arm Vein, Open Approach

031309D Bypass Right Subclavian Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031309F Bypass Right Subclavian Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03130AD Bypass Right Subclavian Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03130AF Bypass Right Subclavian Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03130JD Bypass Right Subclavian Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03130JF Bypass Right Subclavian Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03130KD Bypass Right Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03130KF Bypass Right Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03130ZD Bypass Right Subclavian Artery to Upper Arm Vein, Open Approach

03130ZF Bypass Right Subclavian Artery to Lower Arm Vein, Open Approach

031409D Bypass Left Subclavian Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031409F Bypass Left Subclavian Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03140AD Bypass Left Subclavian Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03140AF Bypass Left Subclavian Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03140JD Bypass Left Subclavian Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03140JF Bypass Left Subclavian Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

Page 19: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03140KD Bypass Left Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03140KF Bypass Left Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03140ZD Bypass Left Subclavian Artery to Upper Arm Vein, Open Approach

03140ZF Bypass Left Subclavian Artery to Lower Arm Vein, Open Approach

031509D Bypass Right Axillary Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031509F Bypass Right Axillary Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03150AD Bypass Right Axillary Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03150AF Bypass Right Axillary Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03150JD Bypass Right Axillary Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03150JF Bypass Right Axillary Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03150KD Bypass Right Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03150KF Bypass Right Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03150ZD Bypass Right Axillary Artery to Upper Arm Vein, Open Approach

03150ZF Bypass Right Axillary Artery to Lower Arm Vein, Open Approach

031609D Bypass Left Axillary Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031609F Bypass Left Axillary Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03160AD Bypass Left Axillary Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03160AF Bypass Left Axillary Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03160JD Bypass Left Axillary Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03160JF Bypass Left Axillary Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03160KD Bypass Left Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03160KF Bypass Left Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03160ZD Bypass Left Axillary Artery to Upper Arm Vein, Open Approach

03160ZF Bypass Left Axillary Artery to Lower Arm Vein, Open Approach

031709D Bypass Right Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031709F Bypass Right Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03170AD Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

03170AF Bypass Right Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03170JD Bypass Right Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03170JF Bypass Right Brachial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03170KD Bypass Right Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03170KF Bypass Right Brachial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03170ZD Bypass Right Brachial Artery to Upper Arm Vein, Open Approach

03170ZF Bypass Right Brachial Artery to Lower Arm Vein, Open Approach

031809D Bypass Left Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach

031809F Bypass Left Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03180AD Bypass Left Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach

Page 20: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

03180AF Bypass Left Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03180JD Bypass Left Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

03180JF Bypass Left Brachial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03180KD Bypass Left Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach

03180KF Bypass Left Brachial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03180ZD Bypass Left Brachial Artery to Upper Arm Vein, Open Approach

03180ZF Bypass Left Brachial Artery to Lower Arm Vein, Open Approach

031909F Bypass Right Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

03190AF Bypass Right Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

03190JF Bypass Right Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03190KF Bypass Right Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

03190ZF Bypass Right Ulnar Artery to Lower Arm Vein, Open Approach

031A09F Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

031A0AF Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

031A0JF Bypass Left Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

031A0KF Bypass Left Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

031A0ZF Bypass Left Ulnar Artery to Lower Arm Vein, Open Approach

031B09F Bypass Right Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

031B0AF Bypass Right Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

031B0JF Bypass Right Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

031B0KF Bypass Right Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

031B0ZF Bypass Right Radial Artery to Lower Arm Vein, Open Approach

031C09F Bypass Left Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach

031C0AF Bypass Left Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

031C0JF Bypass Left Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

031C0KF Bypass Left Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach

031C0ZF Bypass Left Radial Artery to Lower Arm Vein, Open Approach

39.49

Other revisions of

vascular

procedure

03CY0ZZ Extirpation of Matter from Upper Artery, Open Approach

03CY3ZZ Extirpation of Matter from Upper Artery, Percutaneous Approach

03CY4ZZ Extirpation of Matter from Upper Artery, Percutaneous Endoscopic Approach

03QY0ZZ Repair Upper Artery, Open Approach

03QY3ZZ Repair Upper Artery, Percutaneous Approach

03QY4ZZ Repair Upper Artery, Percutaneous Endoscopic Approach

04CY0ZZ Extirpation of Matter from Lower Artery, Open Approach

04CY3ZZ Extirpation of Matter from Lower Artery, Percutaneous Approach

04CY4ZZ Extirpation of Matter from Lower Artery, Percutaneous Endoscopic Approach

04QY0ZZ Repair Lower Artery, Open Approach

04QY3ZZ Repair Lower Artery, Percutaneous Approach

04QY4ZZ Repair Lower Artery, Percutaneous Endoscopic Approach

05CY0ZZ Extirpation of Matter from Upper Vein, Open Approach

05CY3ZZ Extirpation of Matter from Upper Vein, Percutaneous Approach

05CY4ZZ Extirpation of Matter from Upper Vein, Percutaneous Endoscopic Approach

Page 21: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

05QY0ZZ Repair Upper Vein, Open Approach

05QY3ZZ Repair Upper Vein, Percutaneous Approach

05QY4ZZ Repair Upper Vein, Percutaneous Endoscopic Approach

06CY0ZZ Extirpation of Matter from Lower Vein, Open Approach

06CY3ZZ Extirpation of Matter from Lower Vein, Percutaneous Approach

06CY4ZZ Extirpation of Matter from Lower Vein, Percutaneous Endoscopic Approach

06QY0ZZ Repair Lower Vein, Open Approach

06QY3ZZ Repair Lower Vein, Percutaneous Approach

06QY4ZZ Repair Lower Vein, Percutaneous Endoscopic Approach

39.94

Replacement of

vessel-to-vessel

cannula

031B0JF Bypass Right Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

031C0JF Bypass Left Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach

03PY0JZ Removal of Synthetic Substitute from Upper Artery, Open Approach

03PY3JZ Removal of Synthetic Substitute from Upper Artery, Percutaneous Approach

03PY4JZ Removal of Synthetic Substitute from Upper Artery, Percutaneous Endoscopic Approach

03WY0JZ Revision of Synthetic Substitute in Upper Artery, Open Approach

03WY3JZ Revision of Synthetic Substitute in Upper Artery, Percutaneous Approach

03WY4JZ Revision of Synthetic Substitute in Upper Artery, Percutaneous Endoscopic Approach

03WYXJZ Revision of Synthetic Substitute in Upper Artery, External Approach

Page 22: Q4 2015 Facility and Physician Billing Guide Vascular Productsedwardsprod.blob.core.windows.net/media/Default... · Q4 2015 Facility and Physician Billing Guide Vascular Products

Edwards Lifesciences | edwards.com

One Edwards Way | Irvine, California 92614 USA

Switzerland | Japan | China | Brazil | Australia | India

DISCLAIMER

Reimbursement information provided by Edwards Lifesciences is gathered from third-party sources and is presented for

informational purposes only. Edwards makes no representation, warranty or guarantee as to the timeliness, accuracy or

completeness of the information and such information is not, and should not be construed as reimbursement, coding or legal

advice. Any and all references to reimbursement codes are provided as examples only and are not intended to be a

recommendation or advice as to the appropriate code for the a particular patient, diagnosis, product or procedure or a guarantee

or promise of coverage or payment, nor does Edwards Lifesciences warranty that codes listed are appropriate in all related

clinical scenarios. It is the responsibility of the provider to determine if coverage exists and what requirements are necessary for

submitting a proper claim for reimbursement to a health plan or payer, including the appropriate code(s) for products provided or

services rendered. Laws, regulations, and payer policies concerning reimbursement are complex and change frequently; service

providers are responsible for all decisions relating to coding and reimbursement submissions. Medicare’s Correct Coding

Initiative and commercial payer policies are reviewed and updated several times each year. Accordingly, Edwards strongly

recommends consultation with payers, reimbursement specialists and/or legal counsel regarding appropriate product or

procedure codes, coverage, and reimbursement matters.

1 Current Procedural Terminology (CPT) copyright 2014, American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS restrictions apply to government use. 2 Not all codes provided are applicable for the clinical scenarios in which Edwards Lifesciences’ Vascular technologies are used. The provider is responsible for selecting the most appropriate code(s) for the patient’s clinical presentation. When radiologic guidance is used for catheter placement, it may be appropriate to add applicable codes according to the service provided following correct coding guidelines. Services that are considered a component of another procedure may not always be coded and billed separately. 3 Where applicable, a physician may be required to report CPT codes for radiological supervision and interpretation with CPT codes for interventional procedures. The use of modifier-26 may be required with various radiological supervision and interpretation CPT codes unless radiological equipment is owned by the physician performing these services. Radiological services are often packaged and do not qualify for separate payment by Medicare when performed in conjunction with interventional procedures. Consult with coding and billing staff, as well as payer policy for further guidance. 4 For all Medicare payments for physician, hospital outpatient, and ASC services, the multiple procedure reduction rule may apply. Consult with coding and billing staff, and payer policy for further guidance. National average Medicare payment is calculated using the Conversion Factor of $35.9335 per Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). National average is based on factors such as geography, teaching vs. non-teaching hospital, rural vs. urban area, etc. and your payment may be different based on these factors. This payment will differ for commercial payers. Payments are effective July 1, 2015 through December 31, 2015. 5 Various radiological services are often packaged in APC payments and do not qualify for separate payment by Medicare when performed in conjunction with the interventional procedure. For Medicare claims submission and processing, applicable device-related C codes must also be reported. 6 National Uniform Billing Committee, American Hospital Association. 7 CPT code 36147 should not be used in conjunction with 75791. 8 CPT code 36148 may be used in conjunction with 36147. 9 International Classification of Diseases, 9th Revision, Clinical Modification 2015 ICD-9-CM for hospitals, volume 1, 2, & 3. 10 Federal Register / Vol. 74, No. 11 / Friday, January 16, 2009 / Rules and Regulations: This final rule adopts modifications to two of the code set standards adopted in the Transactions and Code Sets final rule published in the Federal Register pursuant to certain provisions of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Specifically, this final rule modifies the standard medical data code sets (hereinafter ‘‘code sets’’) for coding diagnoses and inpatient hospital procedures by concurrently adopting the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, as maintained and distributed by the U.S. Department of Health and Human Services (HHS), hereinafter referred to as ICD-10-CM, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, as maintained and distributed by the HHS, hereinafter referred to as ICD-10-PCS. These new codes replace the International Classification of Diseases, 9th Revision, Clinical Modification, Volumes 1 and 2, including the Official ICD-9-CM Guidelines for Coding and Reporting, hereinafter referred to as ICD-9-CM Volumes 1 and 2, and the International Classification of Diseases, 9th Revision, Clinical Modification, Volume 3, including the Official ICD-9-CM Guidelines for Coding and Reporting, hereinafter referred to as ICD-9-CM Volume 3, for diagnosis and procedure codes, respectively. DATES: The effective date of this regulation is March 17, 2009. The effective date is the date that the policies herein take effect, and new policies are considered to be officially adopted. The compliance date, which is different than the effective date, is the date on which entities are required to have implemented the policies adopted in this rule. The compliance date for this regulation is October 1, 2015. 11 International Classification of Diseases, 9th Revision, Clinical Modification 2015 ICD-9-CM for hospitals, volume 1, 2, & 3. 12 International Classification of Diseases, 10th Revision, Procedure Coding System 2015 Draft.

CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician. See instructions for use for full

prescribing information, including indications, contraindications, warnings, precautions and adverse events.

Edwards, Edwards Lifesciences, the stylized E logo, and Fogarty are trademarks or service marks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners. © 2015 Edwards Lifesciences Corporation. All rights reserved. PP—US-0126 v2.0